remote patient monitoring implementation guide

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If you have inquiries or issues connected to the support in this record, please e-mail The prescription is released for a legitimate medical function by a practitioner acting in the usual training course of his/ her specialist method.

7 Virtual medical Care.

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To remain educated about updates for telehealth and also other DHCS topics, register for DHCS Stakeholder Announcements. For non-emergency medical concerns (allergies, bronchial asthma, respiratory disease, chilly & influenza, infections, fever, ear pains, nausea or vomiting, pink eye, sore throat).

Enjoy reading neighborhood features as well as info regarding Willis-Knighton and The Oaks of Louisiana in this national publication. Click the web link below for answers to often asked questions concerning telehealth. The majority of the financial savings demonstrated originated from in your area executed lab and also drug store solutions. USDA Community Facilities Direct Loan and also Grant Program awards direct fundings and/or gives for essential community centers in rural areas. McLeod Telehealth is a simple method to see a physician online by video clip anytime, anywhere.

NIBIB researchers are establishing a paper-based analysis that can quantify HIV viral tons in entire blood in 15 mins. A mobile phone is utilized to power and also control the paper-based RNA removal and also reaction; analyze the fluorescent readout indicating viral load; as well as store the lead to the cloud where they can be accessed by a physician. The $10 test will be extensively suitable for contagious disease medical diagnosis at the point-of-care. Lifespan, Rhode Island's very first health and wellness system, is a thorough, integrated, academic health system associated with The Warren Alpert Medical School of Brown University. You may be asked to verify that you have checked out as well as accept and accept the above records as component of your visit. Visit our MyLifespan page for moms and dads and guardians for details on exactly how to authorize your child or teenager up conveniently and also to get the correct level of proxy accessibility.

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Transmission using wireless was done utilizing frequency modulation which got rid of sound. The ECG output was attached to the telephone input using a modulator which converted ECG right into high frequency noise. At the other end a demodulator reconverted the audio into ECG with a good gain precision. The ECG was transformed to sound waves with a regularity varying from 500 Hz to 2500 Hz with 1500 Hz at baseline. Two essential areas of telerehabilitation research are showing equivalence of analysis and therapy to in-person evaluation as well as treatment, as well as constructing new data collection systems to digitize info that a specialist can use in practice.

Telehealth reimbursement may be changing. How should providers prepare? - Healthcare IT News

Telehealth reimbursement may be changing. How should providers prepare?.

Posted: Tue, 27 Oct 2020 07:00:00 GMT [source]

-- Remote patient-monitoring devices such as blood pressure displays, Bluetooth-enabled digital ranges and also other wearable tools that can connect biometric data for testimonial. -- Store-and-forward technologies that gather photos as well as information to be transferred and analyzed later. When physicians' required response to inquiries on adjusting to exercising in a pandemic, the AMA developed resources to fulfill the demand.

If you have questions or concerns connected to the assistance in this file, please This record includes links to other sites and also material coming from or originating from third parties. Such exterior web links are provided for informational and instructional purposes only and are not checked out, kept track of or checked for accuracy, competence, legitimacy, integrity, schedule or completeness by ASAM.

Common daily emergency situation telemedicine is done by SAMU Regulatory authority Physicians in France, Spain, Chile as well as Brazil. Airplane and naval emergencies are likewise handled by SAMU centres in Paris, Lisbon as well as Toulouse. At the dawn of the modern technology, videotelephony additionally included image phones which would trade still images in between devices every few secs over traditional POTS-type telephone lines, basically the same as slow-moving scan TELEVISION systems.

Ground-breaking research in telehaptics as well as digital fact might broaden the range of telerehabilitation practice, in the future. social obstacles happening from the lack of desire, or objection, of some physicians to adjust clinical paradigms for telemedicine applications.

VA Telehealth Solutions gives you access to the treatment you require, when as well as where you require it. Prior to executing telehealth right into your practice, review and become acquainted with state and also government regulations in which you technique. Making use of telehealth to deliver physiotherapist services is increasing swiftly, and also if you have not already, you're possibly considering it. Talk to your existing EHR supplier to see if there is telehealth capability that can be turned on. Reach out to your state medical association/society for assistance on vendor examination, option as well as having. These type of changes are greatly on a state-by-state basis and are changing at a quick rate. ASAM is communicating with state phases and areas to assist resolve problems connected to state guidelines as well as plans.

  • Keeping your wellness currently is equally as vital as ever before-- and telehealth can help.
  • Throughout mostly all clinical specialties, telehealth services can be applied in connecting providers with various clients in different areas by means of real-time audio and remote patient monitoring in japan video clip.
  • In other situations, service centers can make use of telemedicine to collect remotely along with send data to a main tracking system for interpretation.
  • There are several benefits of real-time online gos to, consisting of boosted accessibility to suppliers and also decreased demand for emergency situation division visits.

An additional drawback of telemedicine is the failure to start therapy right away. For example, a patient struggling with a bacterial infection may be given an antibiotic hypodermic injection in the center, and also observed for any reaction, prior to that antibiotic is recommended in pill form. It might be called for that the specialist as well as client entailed have to fulfill face to face a minimum of when prior to online prescribing can take place, or that a minimum of a live-video seminar must occur, not just impersonal surveys or studies to establish requirement. Consequently, in 2015 the state legislature legislated electronic examinations. Restrictive licensure regulations in the USA require a practitioner to get a complete license to provide telemedicine care throughout state lines. Typically, states with limiting licensure legislations also have numerous exemptions that may release an out-of-state expert from the extra problem of getting such a license. A number of states need professionals who seek compensation to regularly supply interstate care to acquire a full license.

Should vagaries of medical facility ownership have bearing upon medical professionals' capacity to speak confidentially with attorneys? See daily video clip updates on exactly how the AMA is fighting COVID-19 by reviewing emerging cyber risks during the pandemic. From here, our system documents each action with the appointed medical professionals standing by. Tracking all end results producing daily transparency reports on our person communications. Complete transparency between TeleHealth Remedy Suppliers, PCPs, Area Admins showcasing all end results.

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"